Medicaid Managed Care and NYC Medical Service Providers
One of the most important factors in determining whether consumers choose the
best health plan for their medical needs is their understanding of provider
participation. For that reason, we encourage health care providers to
prominently display all their health plan affiliations.
Providers who are affiliated with one or more Medicaid health plans are bound
by the terms of the NYC Marketing Guidelines. The guidelines contain certain
rules concerning enrollment solicitations to patients, such as letters and
handouts, which require pre-authorization by CDOH. In order to help providers
inform their patients of their health plan affiliation, the Division of Health
Care Access and Improvement has drafted a sample letter that providers can use
in mailings to their patients. Providers who receive training from DOHMH HCAI
receive a sample letter, along with other training material (New York City Marketing Guidelines for Medical Service
Providers and HIV SNP
Marketing Rules for Providers).
Training Available
New York City health care providers who are interested in receiving training
on Medicaid Managed Care or on the new HIV Special Needs Plans should call
311.
Important Resources
